Rapid and novel prenatal molecular assay for detecting aneuploidies and microdeletion syndromes

Objectives To develop a targeted aneuploidy and microdeletion detection platform for use in the prenatal setting, to assess the integrity of the platform with a robust validation system, and to prospectively determine the performance of the platform under routine clinical conditions. Methods To gene...

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Veröffentlicht in:Prenatal diagnosis 2011-03, Vol.31 (3), p.259-266
Hauptverfasser: Gross, Susan J., Bajaj, Komal, Garry, David, Klugman, Susan, Karpel, Barry M., Marie Roe, Anne, Wagner, Brian J., Zhan, Jenny, Apfelroth, Stephen D., Schreiber-Agus, Nicole
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container_end_page 266
container_issue 3
container_start_page 259
container_title Prenatal diagnosis
container_volume 31
creator Gross, Susan J.
Bajaj, Komal
Garry, David
Klugman, Susan
Karpel, Barry M.
Marie Roe, Anne
Wagner, Brian J.
Zhan, Jenny
Apfelroth, Stephen D.
Schreiber-Agus, Nicole
description Objectives To develop a targeted aneuploidy and microdeletion detection platform for use in the prenatal setting, to assess the integrity of the platform with a robust validation system, and to prospectively determine the performance of the platform under routine clinical conditions. Methods To generate proxies for the various disorders assessed by the assay for analytical validation purposes, cells from ten microdeletion syndromes as well as from common aneuploidies were spiked into cleared amniotic fluid. Genomic DNA was isolated, labeled, and hybridized to microbeads that have been coupled to DNA derived from Bacterial Artificial Chromosome (BAC) from the relevant regions targeted by the array. Beads were read using a flow cytometric multiplex bead array detection system. In the prospective part of the study, 104 amniotic fluid samples were collected and analyzed. Results All microdeletion syndromes and aneuploidies were validated in a blinded fashion. In the prospective study, the total number of readable samples was 101 of 104 (97%). All sample results were confirmed independently. Conclusion The bead array approach is a rapid and reliable test for detecting aneuploidies and microdeletions. This assay has the potential to provide the benefit of expanded molecular cytogenetic testing to pregnant women undergoing invasive prenatal diagnosis. This approach may be especially useful in parts of the world where cytogenetic personnel and facilities may be limited. Copyright © 2011 John Wiley & Sons, Ltd.
doi_str_mv 10.1002/pd.2674
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Methods To generate proxies for the various disorders assessed by the assay for analytical validation purposes, cells from ten microdeletion syndromes as well as from common aneuploidies were spiked into cleared amniotic fluid. Genomic DNA was isolated, labeled, and hybridized to microbeads that have been coupled to DNA derived from Bacterial Artificial Chromosome (BAC) from the relevant regions targeted by the array. Beads were read using a flow cytometric multiplex bead array detection system. In the prospective part of the study, 104 amniotic fluid samples were collected and analyzed. Results All microdeletion syndromes and aneuploidies were validated in a blinded fashion. In the prospective study, the total number of readable samples was 101 of 104 (97%). All sample results were confirmed independently. Conclusion The bead array approach is a rapid and reliable test for detecting aneuploidies and microdeletions. This assay has the potential to provide the benefit of expanded molecular cytogenetic testing to pregnant women undergoing invasive prenatal diagnosis. This approach may be especially useful in parts of the world where cytogenetic personnel and facilities may be limited. 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Diagn</addtitle><description>Objectives To develop a targeted aneuploidy and microdeletion detection platform for use in the prenatal setting, to assess the integrity of the platform with a robust validation system, and to prospectively determine the performance of the platform under routine clinical conditions. Methods To generate proxies for the various disorders assessed by the assay for analytical validation purposes, cells from ten microdeletion syndromes as well as from common aneuploidies were spiked into cleared amniotic fluid. Genomic DNA was isolated, labeled, and hybridized to microbeads that have been coupled to DNA derived from Bacterial Artificial Chromosome (BAC) from the relevant regions targeted by the array. Beads were read using a flow cytometric multiplex bead array detection system. In the prospective part of the study, 104 amniotic fluid samples were collected and analyzed. Results All microdeletion syndromes and aneuploidies were validated in a blinded fashion. In the prospective study, the total number of readable samples was 101 of 104 (97%). All sample results were confirmed independently. Conclusion The bead array approach is a rapid and reliable test for detecting aneuploidies and microdeletions. This assay has the potential to provide the benefit of expanded molecular cytogenetic testing to pregnant women undergoing invasive prenatal diagnosis. This approach may be especially useful in parts of the world where cytogenetic personnel and facilities may be limited. 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Diagn</addtitle><date>2011-03</date><risdate>2011</risdate><volume>31</volume><issue>3</issue><spage>259</spage><epage>266</epage><pages>259-266</pages><issn>0197-3851</issn><issn>1097-0223</issn><eissn>1097-0223</eissn><abstract>Objectives To develop a targeted aneuploidy and microdeletion detection platform for use in the prenatal setting, to assess the integrity of the platform with a robust validation system, and to prospectively determine the performance of the platform under routine clinical conditions. Methods To generate proxies for the various disorders assessed by the assay for analytical validation purposes, cells from ten microdeletion syndromes as well as from common aneuploidies were spiked into cleared amniotic fluid. Genomic DNA was isolated, labeled, and hybridized to microbeads that have been coupled to DNA derived from Bacterial Artificial Chromosome (BAC) from the relevant regions targeted by the array. Beads were read using a flow cytometric multiplex bead array detection system. In the prospective part of the study, 104 amniotic fluid samples were collected and analyzed. Results All microdeletion syndromes and aneuploidies were validated in a blinded fashion. In the prospective study, the total number of readable samples was 101 of 104 (97%). All sample results were confirmed independently. Conclusion The bead array approach is a rapid and reliable test for detecting aneuploidies and microdeletions. This assay has the potential to provide the benefit of expanded molecular cytogenetic testing to pregnant women undergoing invasive prenatal diagnosis. This approach may be especially useful in parts of the world where cytogenetic personnel and facilities may be limited. Copyright © 2011 John Wiley &amp; Sons, Ltd.</abstract><cop>Chichester, UK</cop><pub>John Wiley &amp; Sons, Ltd</pub><pmid>21207408</pmid><doi>10.1002/pd.2674</doi><tpages>8</tpages></addata></record>
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subjects Amniotic fluid
Aneuploidy
Bacterial artificial chromosomes
Comparative Genomic Hybridization - methods
Diagnostic Tests, Routine - methods
DNA
Efficiency
Female
Flow cytometry
Genetic Diseases, Inborn - diagnosis
genomics
Humans
Male
microspheres
molecular cytogenetics
Molecular Diagnostic Techniques - methods
Molecular Diagnostic Techniques - trends
Personnel
Pregnancy
Prenatal diagnosis
Prenatal Diagnosis - methods
Prenatal Diagnosis - trends
Reproducibility of Results
Sequence Deletion
Syndrome
Time Factors
title Rapid and novel prenatal molecular assay for detecting aneuploidies and microdeletion syndromes
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